Multiple clinical trials evaluate the pharmacokinetic and pharmacodynamic profiles of doripenem across severe bacterial infections, including pediatric meningitis, community-acquired bacterial pneumonia, ventilator-associated pneumonia, and febrile neutropenia. Encompassing Phase I and Phase IV studies, these trials are sponsored by pharmaceutical leaders like Janssen Research & Development and academic institutions such as Michigan State University and Prince of Songkla University. Trial statuses range from completed pharmacodynamic assessments to terminated early-phase pediatric protocols.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT01366651 | Terminated | Meningitis |
Janssen Research & Development LLC |
2012-03 | Phase 1 |
| NCT01524302 | Completed | Pneumonia Bacterial|Community-acquired |
Gary E. Stein Pharm.D.|Forest Laboratories|Michigan State University |
2012-02 | Phase 4 |
| NCT01467648 | Completed | Ventilator-Associated Pneumonia |
Sutep Jaruratanasirikul|Prince of Songkla University |
2010-10 | Phase 4 |
| NCT01401010 | Completed | Febrile Neutropenia |
Gary E. Stein Pharm.D.|Michigan State University |
2010-08 | Phase 4 |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).